Needham, Justin Daniel

Needham, Justin Daniel is an individual health care provider with primary practice located at 1995 Mall Of Georgia Blvd Ste A , Buford GA 30519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Needham, Justin Daniel can be contacted via phone (678) 381-2020.

Contact Information

Primary practice address
1995 Mall Of Georgia Blvd Ste A Buford GA 30519
Phone: (678) 381-2020
Fax: (678) 381-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24771 Nebraska
Allopathic & Osteopathic Physicians / General Practice 208D00000X 24771 Nebraska
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 79768 Georgia

Profile Details

NPI number 1699923516
LBN Legal business name Needham, Justin Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Aug 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699923516 NPPES
Other UPIN: VAD000 UPIN

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